Health & Social Partneships Strategy Lead

CareSource Management Services LLC; Ohio; Hybride; USD 83 000 - 133 000; Plein temps

Résumé du poste

CareSource in Ohio seeks a Health & Social Partnerships Strategy Lead to identify populations, needs and trends that impact outcomes, experience and cost of care, using data-driven analyses within a population health platform designed to provide holistic member care.

The role involves researching social determinants of health, leading analyses, collaborating with executives, and translating insights into scalable strategies for RFP responses and product guidance.

Qualifications

• Bachelor’s Degree in Social Service, Human Service, Organizational Leadership, or related field; or equivalent years of relevant work experience.
• Master’s Degree preferred.
• Minimum of three (3) years of program development, implementation, and evaluation in the social determinants of health or within special populations.
• Minimum of one (1) year of experience in data analysis and/or analytic programming.
• Healthcare and/or Managed Care experience preferred.

Responsabilités

• Gather business intelligence and research on social determinants of health topics and trends; focus on measurable benefits.
• Lead process analyses to diagnose opportunities and develop reusable solutions.
• Collaborate with leadership to evaluate opportunities for improving existing or new projects.
• Develop and maintain expertise in federal and state requirements affecting the social determinant of health model.
• Assist in RFP process and implementation of new lines of business to ensure population health considerations are included.
• Use data analytics to identify opportunities for improvement with Population Health Analytics team.
• Ensure operational readiness through initiative oversight and monitoring for process improvements.
• Work with product and market teams to align goals with regulatory guidelines.
• Review reports for pattern identification and provide management summaries.

Connaissances

Analytical thinking

Communication

Problem solving

Team collaboration

Independent work

Formation

Bachelor's degree in Social Service, Human Service, Organizational Leadership, or related field

Master’s Degree preferred

Outils

Excel

Access

SAS

Description du poste

Job Summary

The Health & Social Partnerships Strategy Lead assists with the identification of populations, needs, trends and patterns that may impact outcomes, experience and cost of care through in-depth analyses and prioritization of strategies that drive social transformation through a comprehensive population health platform designed to provide holistic member care.

Essential Functions

Responsible for gathering business intelligence and managing research and analysis on a variety of social determinant of health related topics, including but not limited to, housing, education, workforce development, safety, or social isolation, specialized populations, , federal and state legislative proposals and initiatives, new product launches, rules and regulations that may impact the identification of populations for current and new states of interest with the goal to implement innovative best practice strategies into population health models and meet the triple aim Collaborates with department director and other leadership to evaluate opportunities for process improvement in new or existing projects with focus on measurable benefits Lead and conduct business process and gap analysis to diagnose process improvement opportunities and to develop re-usable solutions using principles of process excellence and related tools Develop and maintain expertise in Federal and state specific requirements that impact the social determinant of health model and recommend innovative standardized population health strategies while maintaining a disciplined approach when addressing market specific nuances Collaborate with Business Development and Integration during the RFP process and the implementation of new lines of business to ensure that responses incorporate the totality of the population specific health model and the overall impact of new business on the holistic care of members Using data analytics, assist with the identification of opportunities for improvement through collaboration with Population Health Analytics team Conduct examination and explanation of complex data relationships to answer questions identified either within the department or by other departments Ensure operational readiness through initiative oversight and continual monitoring for process improvement opportunities of social determinant of health strategies Works closely with product and market teams to understand goals of the product and regulatory guidelines surrounding the products Assist in the review of reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques that will reveal intelligence for identification of any associative or causal relationships and provide management level summaries that explain key findings across the organizations markets and products Perform any other job‑related instructions, as requested

Education and Experience

Bachelor’s Degree in Social Service, Human Service, Organizational Leadership, or related field or equivalent years of relevant work experience is required Master’s Degree preferred Minimum of three (3) years of program development, implementation, and evaluation in the social determinants of health or within special populations required Minimum of one (1) year of experience in data analysis and\/or analytic programming required Healthcare and\/or Managed Care experience preferred

Competencies, Knowledge and Skills

Microsoft Suite skills required Graphic development\/presentation skills required Strategic management skills Planning, problem identification, and resolution skills Experience in the management of large data project including responsibility for meeting deadlines, accuracy requirements and reporting to upper management required Excel, Access, and SAS skills Excellent customer service skills Ability to work independently and within a team environment Critical listening, thinking skills, and verbal and written communication skills Decision making\/problems solving skills Knowledge of government or social investment funding mechanisms required

Licensure and Certification

None

Working Conditions

General office environment; may be required to sit or stand for extended periods of time

Compensation Range

83,000.00$ - 132,800.00$ CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well‑being and offer a substantial and comprehensive total rewards package.

Compensation Type

Salary

Organization Level

Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time.

Equal Opportunity

CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Mission & Culture

#LI-TS1 Brand=CareSource The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference‑makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer‑centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.